Individual
MICHAEL DEVOLL LOEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-2267
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14306-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14306-24
PHYSICAL THERAPY LICENSE
WI
01
—
PT017466
PHYSICAL THERAPY LICENSE
OH
Enumeration date
07/18/2018
Last updated
07/18/2018
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